MedicaidAdministrativeMedium impact
Discharging Patients to Medicaid-Certified Nursing Facilities
Kentucky Medicaid·KY · Family Medicine, Internal Medicine, General Practice·Provider Letter
Effective date
Sep 16, 2025
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid clarifies that hospital discharges to nursing facilities must complete PASRR screening and level of care determination BEFORE admission, not within 3 days after. Hospitals must provide compliant History & Physical documentation to expedite the process.
Action Required
Immediately: Case management and discharge planning teams must initiate nursing facility placement requests earlier in the hospital stay to allow time for PASRR screening completion before discharge. Ensure all H&P documentation includes: completion within past year, present illness history, full review of 10+ systems, physical exam covering 9 areas including neurological assessment, physician signature/review, and current medication list with indications. Contact chosen nursing facilities as early as possible to begin LOC application process.